CMS Price Transparency Data

Blood test, sodium

Facility: Temple University Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.70x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Temple University Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.70x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)
Insurance Median: $13 (270%)
Ins. Median: $13 (270% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 270% of the Medicare baseline (a markup of 170%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $5 - $124 104%
Blue Cross Blue Shield $5 - $129 104%
Cigna $5 104%
Clover Health $5 104%
Geisinger $5 - $126 104%
Health Partners Plans $5 104%
Humana $5 104%
Innovage $5 104%
Keystone First $5 - $16 104%
Pennsylvania Health And Wellness $5 - $15 104%
UnitedHealthcare $5 - $156 104%
Upmc Health Plan $5 - $14 104%
Amerihealth Caritas $6 125%
Elder Health $6 125%
Gateway Health Plan $6 125%
Wtc Health Program $6 125%
Naphcare $7 146%
Occunet $7 146%
Oscar Health $7 146%
Prime Health Services $8 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals